Individual provider Active NPI

Mark Khader, MD

  • Obesity Medicine (Internal Medicine) Physician
  • Denver, CO
National Provider Identifier
1992270086
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
DR.0034202 Issued in CO
Practice address
3095 W 38TH Ave
Denver, CO 80211-2088
Phone
(303) 458-1551
Fax
(303) 458-0250
NPI assigned
Oct 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X DR.0034202 CO Primary

Addresses

Primary practice location

3095 W 38TH Ave
Denver, CO 80211-2088

Mailing address

3095 W 38TH Ave
Denver, CO 80211-2088
Phone (303) 458-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0034202COMDObesity Medicine (Internal Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1992270086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112088",
            "telephone_number": "303-458-1551",
            "fax_number": "303-458-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112088",
            "telephone_number": "303-458-1551",
            "fax_number": "303-458-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CO",
            "license": "DR.0034202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.